Community Care Fund | Modern Anarchy with Dr. Nicole

Community Care Fund Application

Thank you for your interest in The Community Care Fund. Dr. Nicole is deeply committed to making sex and relationship support accessible, inclusive, and rooted in care for our whole community.

This scholarship is designed to honor the diverse financial realities that shape people’s lives. Community members who are able to pay the full session rate contribute directly to The Community Care Fund, making it possible for others to receive sliding-scale scholarship support. This collective model allows us to practice the very values we cultivate in our work: mutual care, integrity, and interdependence.

At The Pleasure Practice we believe in building adaptable, evolving relationships. As your circumstances change, your rate can too. If questions arise about fees or payment options, please reach out to Dr. Nicole. Your feedback matters deeply, and we are always working to expand access to this liberatory work.

Please take time to intentionally reflect on the application questions so we can determine a rate that reflects your current financial reality, honors the value of this work, and helps sustain a community rooted in mutual care and liberation.

First name

Last name

Gender

Pronouns

Race/Ethnicity

Age

Sexual Orientation

Relationship Orientation

Ability Status

Highest Level of Education

Current Occupation

How would you describe your personal commitment to community care and mutual aid?*

How will you benefit from exploring the liberation of your pleasure with Dr. Nicole at this time in your life?*

Is there anything else that you think should be considered for your application?

Which offering(s) are you applying for Community Care Fund support? (select all that apply)

Individual $350 per session

Couple/Partners $450 per session

Pleasure Liberation: 16-Week Group Programs $5,500 (32 group hours at $150 per hour + 2 individual sessions at $350 per hour)

How to Choose Your Tier

Below are three tiers of need. You are invited to choose the tier that most closely reflects your current reality.

Tier 1: Moderate Financial Constraint

You may resonate with this tier if you are generally able to meet your basic needs, but paying the full rate would create strain, such as:

Stable income with limited flexibility
Ongoing debt alongside financial stability
Limited savings or emergency funds
Early to mid-career earnings
High cost of living impacting disposable income

Tier 2: Significant Financial Constraint

You may resonate with this tier if you are experiencing more consistent financial pressure or limited access to resources, such as:

Living paycheck to paycheck or with minimal buffer
Significant student loan, medical, or personal debt
Lower or inconsistent income
Financial caregiving responsibilities
Limited access to generational wealth

Tier 3: Substantial Financial Constraint

This tier is reserved for those experiencing substantial financial barriers to care. You may resonate with this tier if you are navigating:

Unstable or very low income
Disability, chronic illness, or inability to work full-time
Financial dependence or crisis
Systemic barriers significantly impacting access to resources

Which tier best reflects your current financial situation?

I affirm that the information shared reflects my current circumstances to the best of my ability and my commitment to community care.

I understand that Community Care Fund rates are a shared, limited resource within the community, are only valid for the time awarded, and require re-certification every January.

Signature

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Date

Thank you for sharing your information with care. Dr. Nicole will be in touch soon regarding your application.